2022-11-15T17:00:03-06:00 2021-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2021-01-01 472915863 CENTRAL NEW YORK CARE COLLABORATIVE CENT 3157032960 15 EXECUTIVE PARK DRIVE HALFMOON NY 120655631 LOU AIELLO AUTHORIZED REPRESENTATIVE 3157032960 2022-11-15 1 LOU AIELLO 999009999 NICOLE C WOODALL P00427230 3154463600 2022-11-15 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LOU AIELLO 15 EXECUTIVE PARK DRIVE HALFMOON NY 120655631 5092547 0 X WWW.CNYCARES.ORG X 2015 NY THE PURPOSE OF THE CORPORATION IS TO ACT AS A PERFORMING PROVIDER SYSTEM(PPS) LEAD ORGANIZATION UNDER NEW YORK'S MEDICAID REDESIGN TEAM'S WAIVER AMENDMENT DELIVERY SYSTEM REFORM INCENTIVE PAYMENT(DSRIP) PROGRAM BY DEVELOPING AND IMPLEMENTING: DSRIP PROJECT PLANS FOCUSING ON OUTPATIENT CLINICAL MANAGEMENT AND POPULATION HEALTH: INTEGRATED DELIVERY SYSTEMS; PRIMARY CARE AND BEHAVIORAL HEALTH ACCESS AND COORDINATION; CARE COORDINATION AND TRANSITIONAL CARE PROGRAMS; CLINICAL IMPROVEMENT PROJECTS RELATING TO BEHAVIORAL HEALTH AND PHYSICAL HEALTH NEEDS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT; PROCESSES TO REDUCE AVOIDABLE EMERGENCY ROOM UTILIZATION AND HOSPITALIZATION; AND POPULATION HEALTH, PROMOTING NEW YORK STATE'S PREVENTATIVE AGENDA. 4 0 0 0 0 0 180837537 5091742 0 0 517241 805 0 0 181354778 5092547 4184588 589275 0 0 121376 93446 0 0 0 177048814 4409826 181354778 5092547 0 0 16410891 12110106 16410891 12110106 0 0 X THE PURPOSE OF THE CORPORATION IS TO ACT AS A PERFORMING PROVIDER SYSTEM(PPS) LEAD ORGANIZATION UNDER NEW YORK'S MEDICAID REDESIGN TEAM'S WAIVER AMENDMENT DELIVERY SYSTEM REFORM INCENTIVE PAYMENT(DSRIP) PROGRAM BY DEVELOPING AND IMPLEMENTING: DSRIP PROJECT PLANS FOCUSING ON OUTPATIENT CLINICAL MANAGEMENT AND POPULATION HEALTH: INTEGRATED DELIVERY SYSTEMS; PRIMARY CARE AND BEHAVIORAL HEALTH ACCESS AND COORDINATION; CARE COORDINATION AND TRANSITIONAL CARE PROGRAMS; CLINICAL IMPROVEMENT PROJECTS RELATING TO BEHAVIORAL HEALTH AND PHYSICAL HEALTH NEEDS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT; PROCESSES TO REDUCE AVOIDABLE EMERGENCY ROOM UTILIZATION AND HOSPITALIZATION; AND POPULATION HEALTH, PROMOTING NEW YORK STATE'S PREVENTATIVE AGENDA. 0 1 4600157 589275 THE PURPOSE OF THE CORPORATION IS TO ACT AS A PERFORMING PROVIDER SYSTEM(PPS) LEAD ORGANIZATION UNDER NEW YORK'S MEDICAID REDESIGN TEAM'S WAIVER AMENDMENT DELIVERY SYSTEM REFORM INCENTIVE PAYMENT(DSRIP) PROGRAM BY DEVELOPING AND IMPLEMENTING: DSRIP PROJECT PLANS FOCUSING ON OUTPATIENT CLINICAL MANAGEMENT AND POPULATION HEALTH: INTEGRATED DELIVERY SYSTEMS; PRIMARY CARE AND BEHAVIORAL HEALTH ACCESS AND COORDINATION; CARE COORDINATION AND TRANSITIONAL CARE PROGRAMS; CLINICAL IMPROVEMENT PROJECTS RELATING TO BEHAVIORAL HEALTH AND PHYSICAL HEALTH NEEDS IDENTIFIED IN A COMMUNITY NEEDS ASSESSMENT; PROCESSES TO REDUCE AVOIDABLE EMERGENCY ROOM UTILIZATION AND HOSPITALIZATION; AND POPULATION HEALTH, PROMOTING NEW YORK STATE'S PREVENTATIVE AGENDA. 4600157 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X LOU AIELLO 3157032960 PO BOX 4308 UTICA NY 135044308 X MEREDITH PRICE TREASURER 0.50 X X 0 0 0 SCOTT BERLUCCHI CHAIR 0.50 X X 0 0 0 DARLENE STROMSTAD DIRECTOR 0.50 X 0 0 0 MARILYN GALIMI SECRETARY 0.50 X X 0 0 0 0 0 0 0 0 0 0 IBM PO BOX 643600 PITTSBURGH PA 15264 BUSINESS SOFTWARE DEVELOPMENT 325000 BOND SCHOENECK & KING PLLC ONE LINCOLN CENTER 110 W FAYETTE S SYRACUSE NY 13202 LEGAL SERVICES 235211 BROWN & BROWN EMPIRE STATE 500 PLUM ST SYRACUSE NY 13204 INSURANCE 153488 MOHAWK VALLEY HEALTH SYSTEM 1656 CHAMPLIN AVENUE UTICA NY 13502 ADMINISTRATIVE SERVICES 115563 4 5091742 5091742 805 805 5092547 0 0 805 589275 589275 82378 33283 49095 5664 176 5488 5404 1014 4390 163918 163918 100782 100782 84153 84153 4586 4586 277 277 935 701 234 146615 74766 71849 VALUE BASED PAYMENT QUA 3864908 3864908 0 PURCHASED SERVICES 40457 35457 5000 OTHER EXPENSES 3036 300 2736 PRINTING AND POSTAGE 159 159 5092547 4600157 492390 0 7740974 9963788 6957761 1014699 1711221 1131619 0 935 16410891 12110106 3464247 390296 12946644 11719810 16410891 12110106 X 0 0 0 0 0 0 0 0 16410891 12110106 0 0 X X 0 1 X 1 0 X 37259738 48650743 45368027 180837537 5091742 317207787 37259738 48650743 45368027 180837537 5091742 317207787 317207787 250614 1067982 1630575 517241 805 3467217 320675004 0.98920 0.98960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 5092547 0 5092547 0 5092547 0 0 0 0 0 PART X, LINE 2: CNYCC IS A TYPE B NOT-FOR-PROFIT CORPORATION AS DEFINED BY SECTION 201 OF THE NEW YORK STATE NOT-FOR-PROFIT CORPORATION LAW AND IS AN EXEMPT ORGANIZATION UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE CNYCC FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2021 AND 2020, CNYCC DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2018 THROUGH 2021. 1 ADVOCATES FOR UPSTATE MEDICAL UNIVERSITY UNIVERSITY HOSPITAL 160915951 589275 0 SMART CARE PART I, LINE 2: CENTRAL NEW YORK CARE COLLABORATIVE REQUIRES WRITTEN QUARTERLY REPORTS INCLUDING BACK UP DOCUMENTS RELATING TO WORK PERFORMED, TRAININGS HELD, PATIENTS COUNSELED, ETC. THAT SUBSTANTIATES WORK PERFORMED AND OTHER REQUIREMENTS OF THE GRANT. ONCE THE REPORTS AND ATTACHMENTS HAVE BEEN RECEIVED AND REVIEWED AND APPROVED BY PROJECT MANAGERS, QUARTERLY PAYMENTS ARE PROCESSED. FORM 990, PART III, LINE 3 CNYCC MANAGES AND DISTRIBUTES DSRIP PAYMENTS TO ITS MEMBERS AND OTHER HEALTHCARE PARTNERS. CNYCC'S GOAL WAS TO CREATE AND SUSTAIN AN INTEGRATED, HIGH PERFORMING HEALTHCARE DELIVERY SYSTEM THAT COULD EFFECTIVELY AND EFFICIENTLY MEET THE NEEDS OF MEDICAID AND OTHER ELIGIBLE PATIENTS UNDER THE DSRIP PROGRAM, EVOLVING OVER THE DSRIP PROGRAM PERIOD CONSISTENT WITH APPLICABLE LAWS AND REGULATIONS AND THE DIRECTIVES OF THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) FOR THE DSRIP PROGRAM. THE DSRIP PROGRAM AND FEDERAL FUNDING WAS INTENDED TO END IN MARCH 2020. IN FEBRUARY 2020, THE UNITED STATES FEDERAL GOVERNMENT DENIED NEW YORK STATE'S REQUEST TO EXTEND THE DSRIP PROGRAM, WHICH ENDED FEDERAL FUNDING. DURING 2020, CNYCC IMPLEMENTED PLANS TO COMPLETE ITS ONGOING PROGRAMS, TRANSITION ESTABLISHED COLLABORATIVE STRUCTURES, AND ESTABLISH RESERVES FOR REGULATORY REQUIREMENTS. AS PART OF THIS PROCESS, CNYCC AGREED TO TERMS FOR THE TRANSFER OF RIGHTS AND OBLIGATIONS OF A CARE COORDINATION SYSTEM TO A LOCAL INDEPENDENT PHYSICIAN ASSOCIATION, AS WELL AS A GRANT TO THE INDEPENDENT PHYSICIAN ASSOCIATION TO BE USED TO SUPPORT THE SYSTEM'S ONGOING COST. CNYCC HAS ACCOUNTED FOR THE TRANSACTION DURING 2020 AS THE PARTIES HAD AGREED TO THE TERMS AND THE BOARD OF DIRECTORS HAD APPROVED THE TRANSACTION. CNYCC HAS RECORDED A LIABILITY OF $2,374,000 ON THE BALANCE SHEET AS OF DECEMBER 31, 2020, AND EXPENSE AND CORRESPONDING REVENUE IN THE STATEMENT OF ACTIVITIES FOR 2020 IN CONJUNCTION WITH THE GRANT AND RELATED DSRIP FUNDING. DURING 2021, CNYCC CONTINUED DISTRIBUTIONS OF EARNED MEMBER AND PARTNER PAYMENTS AND COLLECTING OUTSTANDING DSRIP REVENUE RECEIVABLES. BEGINNING IN 2022, CNYCC WILL HAVE CONTINUED REDUCTIONS IN OPERATIONS SUCH THAT EXPENSES WILL BE LIMITED TO ONGOING ADMINISTRATIVE COSTS UNTIL SUCH TIME THAT NEW YORK STATE AND OTHER REGULATORY ENTITIES HAVE COMPLETED THEIR REVIEW OF CNYCC OR STATUTORY TIME FRAMES HAVE EXPIRED. CNYCC AND ITS BOARD OF DIRECTORS HAVE DETERMINED AN AMOUNT OF $8,000,000 TO BE HELD UNTIL SUCH REGULATORY REVIEWS ARE COMPLETE OR THE STATUTORY TIME FRAMES HAVE PASSED AND HAVE RECORDED A LONG TERM LIABILITY IN THE ACCOMPANYING BALANCE SHEETS AS OF DECEMBER 31, 2021 AND 2020. ASSETS REMAINING THEREAFTER WILL BE DISTRIBUTED TO MEMBERS AND PARTNERS IN ACCORDANCE WITH PLANS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 IN JANUARY 2021, CENTRAL NEW YORK CARE COLLABORATIVE ENTERED INTO AN ADMINISTRATIVE SERVICES AGREEMENT WITH MOHAWK VALLEY HEALTH SYSTEM (MVHS) TO PROVIDE ADMINISTRATIVE SUPPORT AS NEEDED FOR A TERM OF SEVEN YEARS. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE JANUARY 1, 2021 THE BYLAWS WERE AMENDED SUCH THAT CNYCC HAS A SINGLE CLASS OF MEMBERSHIP WITH EQUAL GOVERNANCE RIGHTS AND OBLIGATIONS THROUGH DISSOLUTION OF THE ENTITY. THE CORPORATION SHALL HAVE FOUR (4) MEMBERS: AUBURN COMMUNITY HOSPITAL ("ACH"), MOHAWK VALLEY HEALTH SYSTEM ("MVHS"), ST. JOSEPH'S HOSPITAL HEALTH CENTER ("ST JOSEPH'S") AND THE STATE UNIVERSITY OF NEW YORK UPSTATE MEDICAL UNIVERSITY ("UPSTATE"). FORM 990, PART VI, SECTION A, LINE 6 THROUGH DECEMBER 31, 2020, CNYCC WAS GOVERNED BY ITS BOARD OF DIRECTORS WHICH INCLUDED REPRESENTATION FROM ITS FOUR CORPORATE MEMBERS AND CERTAIN OTHER PARTNERS. EFFECTIVE JANUARY 1, 2021, THE BOARD OF DIRECTORS WAS REDUCED TO INCLUDE FOUR DIRECTORS WITH ONE APPOINTED BY EACH OF THE CORPORATE MEMBERS. THE CORPORATION SHALL HAVE FOUR (4) MEMBERS: AUBURN COMMUNITY HOSPITAL ("ACH"), MOHAWK VALLEY HEALTH SYSTEM ("MVHS"), ST. JOSEPH'S HOSPITAL HEALTH CENTER ("ST JOSEPH'S") AND THE STATE UNIVERSITY OF NEW YORK UPSTATE MEDICAL UNIVERSITY ("UPSTATE"). FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS SHALL HAVE THE GENERAL POWER TO MANAGE AND CONTROL THE AFFAIRS, PROPERTY AND BUSINESS OF THE CORPORATION AND SHALL HAVE THE FULL POWER BY MAJORITY VOTE (UNLESS OTHERWISE PROVIDED IN THESE BYLAWS) TO ADOPT RULES AND POLICIES GOVERNING THE ACTION OF THE BOARD OF DIRECTORS AND THE CORPORATION. THE BOARD OF DIRECTORS SHALL NOT PERMIT ANY PART OF THE NET EARNINGS OF THE CORPORATION TO INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER, OR OTHER PRIVATE PERSON. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS SHALL RETAIN THE POWER AND AUTHORITY TO: A. ADOPT AND/OR AMEND THE CERTIFICATE OF INCORPORATION; B. ADOPT AND/OR AMEND THE BYLAWS; C. EACH MEMBER SHALL DESIGNATE AN INDIVIDUAL TO SERVE ON THE BOARD OF DIRECTORS; D. APPROVE THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; E. APPROVE THE MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM; AND F. DISSOLVE THE CORPORATION AND APPROVE THE DISPOSITION OF ITS ASSETS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO THE FINANCE COMMITTEE, BOARD OF DIRECTORS AND MEMBERS OF THE ORGANIZATION FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE STATEMENTS ARE REVIEWED BY THE ORGANIZATION AND ADDRESSED IN THE APPROPRIATE COMMITTEE AND BOARD MEETING AS NEEDED. SUCH INDIVIDUALS ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST AND RECUSE THEMSELVES FROM VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR COMMITTEE. IN ADDITION, EVERY BOARD AND COMMITTEE AGENDA CONTAINS A WRITTEN REMINDER THAT EACH BOARD OR COMMITTEE MEMBER MUST EXECUTE HIS OR HER POWERS IN GOOD FAITH AND IN THE BEST INTEREST OF THE ORGANIZATION, RATHER THAN IN HIS OR HER OWN INTERESTS OR IN THE INTERESTS OF ANOTHER PERSON OR ENTITY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE FINANCIAL STATEMENT PROCESS AND HAS NOT CHANGED FROM THE PRIOR YEAR.